| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $26.08 | $49.32 | $60.91 | |
Cigna
| Facility | $68.88 | $68.88 | $81.88 | |
Cigna
| Professional | $16.30 | $61.99 | $68.88 | |
Providence
| Facility | $30.33 | $49.32 | $68.88 | |
Providence
| Professional | $58.55 | $62.97 | $97.65 | |
United
| Professional | $68.75 | $83.07 | $95.28 |